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Improving health system performance

Financial arrangements

This section contains RHL summaries of published systematic reviews on a wide variety of interventions and strategies to improve health system performance. This includes interventions to improve delivery of healthcare services, financial arrangements and leadership and governance arrangements. Also included are summaries prepared by the SUPPORT project.

RHL Article

Paying health-care workers for higher performance is a complex intervention that has been suggested to improve public health goals. This review assesses the current evidence for the effects of paying for performance on the provision of health-care services and health outcomes in low- and middle-...

Paying for performance to improve the delivery of health interventions in low- and middle-income countries

RHL Article

An updated version of this systematic review has been published and can be found online at www.cochrane.org . We will soon update the below RHL summary to reflect the updated findings of the systematic review. Cap and cost-sharing policies were introduced to reduce the use of unnecessary...

Pharmaceutical policies: effects of cap and co-payment on rational drug use

RHL Article

Methods of remuneration for health care have been used to influence health-policy outcomes (e.g. cost reduction or improved quality of care), but little is known about how different payment systems affect health policy objectives. This review sought to evaluate the impact of different methods of...

Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians

RHL Article

This overview of systematic reviews evaluates the impact of financial incentives provided to health-care professionals on their behaviour and patient outcomes. The four included reviews report on 32 studies (adjudged by the authors to be of low to moderate quality). Payments for work for a...